Organization · Type 2 NPI

Back Pain Rehab Center for Treatment of Back Pain LLC

Chiropractor · Park Ridge, NJ

NPI number 1639458094 Active

Practice location

12 Wortendyke Rd
Park Ridge, NJ 07656-2046

Call (201) 750-7246 Map

Specialties and licenses

TaxonomyCodeLicense
Chiropractor Primary 111N00000X38MC00430900 (NJ)

Chiropractor: A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems.

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About NPI 1639458094

Back Pain Rehab Center for Treatment of Back Pain LLC's National Provider Identifier is 1639458094, issued on Aug 16, 2011. The primary taxonomy on file is Chiropractor (111N00000X), and the practice location is in Park Ridge, NJ. The record was last updated on Aug 16, 2011.